CT Colonography Reporting and Data System (C-RADS): Version 2023 Update.

Journal

Radiology
ISSN: 1527-1315
Titre abrégé: Radiology
Pays: United States
ID NLM: 0401260

Informations de publication

Date de publication:
Jan 2024
Historique:
medline: 30 1 2024
pubmed: 30 1 2024
entrez: 30 1 2024
Statut: ppublish

Résumé

The CT Colonography Reporting and Data System (C-RADS) has withstood the test of time and proven to be a robust classification scheme for CT colonography (CTC) findings. C-RADS version 2023 represents an update on the scheme used for colorectal and extracolonic findings at CTC. The update provides useful insights gained since the implementation of the original system in 2005. Increased experience has demonstrated confusion on how to classify the mass-like appearance of the colon consisting of soft tissue attenuation that occurs in segments with acute or chronic diverticulitis. Therefore, the update introduces a new subcategory, C2b, specifically for mass-like diverticular strictures, which are likely benign. Additionally, the update simplifies extracolonic classification by combining E1 and E2 categories into an updated extracolonic category of E1/E2 since, irrespective of whether a finding is considered a normal variant (category E1) or an otherwise clinically unimportant finding (category E2), no additional follow-up is required. This simplifies and streamlines the classification into one category, which results in the same management recommendation.

Identifiants

DOI: 10.1148/radiol.232007 PMID: 38289209
pubmed: 38289209
doi: 10.1148/radiol.232007
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e232007

Informations de copyright

© RSNA, 2024 See also the editorial by Taylor in this issue.

Auteurs

Judy Yee (J)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0001-9663-956X

Abraham Dachman (A)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).

David Kim (D)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0003-4215-174X

Mariya Kobi (M)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-3774-4770

Andrea Laghi (A)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-3091-7819

Elizabeth McFarland (E)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).

Courtney Moreno (C)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-6265-2480

Seong Ho Park (SH)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-1257-8315

Perry Pickhardt (P)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-5534-8202

Andrew Plumb (A)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0003-1322-5113

B Dustin Pooler (BD)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0002-8719-5976

Michael Zalis (M)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0009-0006-2182-6575

Kevin J Chang (KJ)

From the Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467 (J.Y.); Department of Radiology, University of Chicago, Chicago, Ill (A.D.); Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wis (D.K., P.P., B.D.P.); Department of Radiology, Columbia University Irving Medical Center, New York, NY (M.K.); Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy (A.L.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (E.M.); Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Ga (C.M.); Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea (S.H.P.); Department of Imaging, University College London, London, United Kingdom (A.P.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (M.Z.); and Department of Radiology, Boston University Medical Center, Boston, Mass (K.J.C.).
ORCID: 0000-0001-9441-2740

Classifications MeSH